May occur at any age. (One-third of women after the age of 40), especially in women who have had multiple birth experiences or who have been given birth or ten or have passed the age of maturity. A large proportion of women with urinary incontinence have been affected by their daily lives affecting their sexual and even mental life (concentration, stress, anxiety …).
Types:
1) Urinary: Loss of urine involuntarily with any sudden effort such as laughter, cough, cough, movement, sneezing, sudden stand and carry heavy things and sex.
2) Nervous: Loss of urine involuntarily after the sudden sense of the need to urinate.
3) common (between the two previous types)
4) In addition: loss of feeling of desire to urinate and thus fill the bladder without feeling the desire to urinate and when full bladder full capacity, it will not explode, but will breathe by leaking a little urine from the urethra (natural exit).
Pregnancy and childbirth are a burden on the muscles of the bladder and pelvis that weaken them and may affect the valve that controls urination. The weakness of the sphincter muscle (bladder muscle) may occur due to chronic inflammation of the bladder or the result of chronic cough, obesity or hormonal disorders (as happens to women over the age of maturity).
Diagnosis and Type Identification:
Symptoms of Ms.
Measure the amount of urine remaining in the bladder after urination with the sonar.
Analysis and cultivation of urine.
Dynamic urinary study planning
Urine Urine Memo: A special form filled out by the lady during several days and analyzed by the doctor for several conclusions about the smoothness.
the cure :
– Behavioral treatment: exit to places where nearby toilets are available. Pee several times to make sure the bladder is emptied. Do not drink too much liquids (2 liters maximum during the day). Reduce caffeine (coffee and anchovies) and soft drinks and alcohol. And bladder training to urinate at regular intervals close and then can be spread.
– Maintain an ideal weight: Helps to respond to other treatments.
– Cure cough and constipation.
– Treatment of associated pelvic diseases: such as fibers, ovaries and other tumors that press the bladder.
– Treatment of vaginal atrophy due to lack of estrogen after the age of maturity.
– Treatment of female prostitutes, if any.
– Treatment of urinary tract infection if any.
– Physical therapy sports: teaching patients exercises to strengthen the muscles of the basin. Helps a large number of ladies but not all and you need to exercise for a very long time and the symptoms come back once you stop these exercises.
– Drug therapy: specifically for neurosis. It has tolerable side effects. Their benefit is high and improvement (not healing) is the norm.
– Surgical treatment: especially with physical strain.
The operations are numerous and varied and range from a very complicated one that is carried out to a simple endoscopic that can be performed by a half-anesthetic called vaginal tape. The tape results are excellent. It is a special tape that supports the urinal canal (urethra) to prevent urinary leakage. The operation is performed by half or general anesthesia. A small incision is made with the vagina. It takes half an hour. The patient may return to her home on the same day or the next day. The patient feels minor pain for two days, treated with analgesics. You may feel difficult to urinate but are temporary. The operation needs a rest for a week and during which you should not carry heavy objects. Vaginal secretions may increase and normal. Maintaining personal hygiene is very important.
Process Risks:
Few occur. Including bleeding and damage to neighboring organs such as bladder, blood vessels, urinary tract infection and operation failure. The operation was successful in 9 women out of every 10 women either fully cured or reduced symptoms.
Injection of hardened materials around the urethra: in special cases.
Botox injection in the laparoscopic bladder wall.
Strengthening the nerves of the bladder: at special frequencies.